Home-based behavior therapy for obsessive–compulsive disorder: A case series with data

Rosqvist, Johan; Egan, Denise; Manzo, Peter A.; Baer, Lee; Jenike, Michael A.; Willis, Brendan

doi:10.1016/s0887-6185(01)00071-8

Cited by 22 publications

(13 citation statements)

References 10 publications

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“…In addition, we have observed that conducting exposures in the home setting may have incremental benefits beyond in-clinic exposures. Consistent with previous empirical work supporting the role of home-based CBT for OCD (Rosqvist et al, 2001), in-session home-based exposure tasks allow therapists to coach families in their natural settings, to identify exposures that will directly translate to home-work tasks, and to observe the completion of such natural setting exposures while identifying compulsions or accommodations that might not be displayed in the clinic setting. For example, in the VTC treatment of one child who would engage in compulsive checking of his parents’ locations while at home, during an exposure task in which he was to remain in his room alone while his parents walked around the house and yard, the child was observed on camera leaving his room to borrow a toy from his sibling and opening a window, both of which enabled him to gauge his parents’ location.…”

Section: Discussionmentioning

confidence: 71%

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Comer

Furr

Cooper‐Vince

et al. 2013

Journal of Clinical Child & Adolescent Psychology

117

112

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Given the burdens of early-onset obsessive-compulsive disorder (OCD), limitations in the broad availability and accessibility of evidence-based care for affected youth present serious public health concerns. The growing potential for technological innovations to transform care for the most traditionally remote and underserved families holds enormous promise. This article presents the rationale, key considerations, and a preliminary case series for a promising behavioral telehealth innovation in the evidence-based treatment of early-onset OCD. We developed an Internet-based format for the delivery of family-based treatment for early-onset OCD directly to families in their homes, regardless of their geographic proximity to a mental health facility. Videoteleconferencing (VTC) methods were used to deliver real-time cognitive-behavioral therapy centering on exposure and response prevention to affected families. Participants in the preliminary case series included 5 children between the ages of 4 and 8 (MAge = 6.5) who received the Internet-delivered treatment format. All youth completed a full treatment course, all showed OCD symptom improvements and global severity improvements from pre- to posttreatment, all showed at least partial diagnostic response, and 60% no longer met diagnostic criteria for OCD at posttreatment. No participants got worse, and all mothers characterized the quality of services received as “excellent.” The present work adds to a growing literature supporting the potential of VTC and related computer technology for meaningfully expanding the reach of supported treatments for OCD and lays the foundation for subsequent controlled evaluations to evaluate matters of efficacy and engagement relative to standard in-office evidence-based care.

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Section: Discussionmentioning

confidence: 71%

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Comer

Furr

Cooper‐Vince

et al. 2013

Journal of Clinical Child & Adolescent Psychology

117

112

View full text Add to dashboard Cite

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“…In addition, considerable means of managing severe OCD that cannot be managed on an outpatient basis are discussed. There have been various worthwhile attempts at managing severe OCD, based on the principle that CBT promotes self-management skills, such as inpatient treatment without the presence of night nurses (i.e., a freestanding hostel with a staff member on night call with a bleep) [22], partial hospitalization [26] and intensive home-based treatment [27,28]. It seems that treating patients with severe OCD in their natural environment (e.g., home-based treatment) has the following advantages over inpatient treatment: a more community-based setting, lack of stigmatization for patient, no interference from disturbed patients with other mental disorders and freedom from bureaucracy regarding hospital-based treatment.…”

Section: Discussionmentioning

confidence: 99%

Development of Nursing Guidelines for Inpatients with Obsessive-Compulsive Disorder in Line with the Progress of Cognitive Behavioral Therapy: A Practical Report

Yoshinaga¹,

Hayashi²,

Yamazaki³

et al. 2014

J Depress Anxiety

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Cognitive behavioral therapy (CBT) is widely regarded as an effective treatment for obsessive-compulsive disorder (OCD) and is usually provided on an outpatient basis. A minority of individuals need a more intensive/ inpatient service, which is particularly important for patients who cannot be managed as outpatients owing to the nature or extent of their symptoms. Inpatient treatment is generally provided by a multidisciplinary team and psychiatric nurses play a specific and prominent role as they are afforded a unique assessment and intervention opportunity by virtue of their 24-hour presence on the unit. However, there are few facilities, reports of multidisciplinary approaches, or descriptions of the role of nursing staff as cotherapists for CBT-oriented treatment of inpatients with OCD. The present paper therefore reports the developed nursing guidelines for inpatients with OCD in line with the progress of CBT at Chiba University Hospital in the context of Japan being a country in which CBT is under development. In addition, availability of the guidelines, better means of managing severe OCD and key issues for dissemination of CBT in Japan are discussed.

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“…Interpreting treatment-resistance as a technical failure implies that the individual may respond to subsequent attempts at evidence-based treatment. Indeed, a number of case series and naturalistic studies conducted among adults with OCD have found that individuals with a history of non-response to CBT made significant gains (21-49% reduction in OCD symptoms) following specialist CBT that was either community-based (Boschen, Drummond, & Pillay, 2008), home-based (Rosqvist, Thomas, & Egan, 2002;Rosqvist et al, 2001) or delivered in an inpatient setting (Boschen et al, 2008;Drummond, 1993). It is of note that the majority of these studies examined non-standard and arguably more intensive formats of CBT (home-based or inpatient) and only one examined outcomes following community-based CBT (Boschen et al, 2008).…”

Section: Practitioner Pointsmentioning

confidence: 99%

How resistant is ‘treatment‐resistant’ obsessive‐compulsive disorder in youth?

Krebs

Isomura

Lang

et al. 2014

British J Clinic Psychol

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Among young people with OCD, failure to respond to treatment in routine clinical practice may often reflect the nature of the treatment received. Exposure techniques may often be overlooked in CBT for OCD, potentially resulting in poor therapeutic response. Most young people with severe and apparent treatment-resistant OCD respond to outpatient CBT incorporating E/RP. Further research is needed to establish effective methods for disseminating good quality CBT for OCD.

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Home-based behavior therapy for obsessive–compulsive disorder: A case series with data

Cited by 22 publications

References 10 publications

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Internet-Delivered, Family-Based Treatment for Early-Onset OCD: A Preliminary Case Series

Development of Nursing Guidelines for Inpatients with Obsessive-Compulsive Disorder in Line with the Progress of Cognitive Behavioral Therapy: A Practical Report

How resistant is ‘treatment‐resistant’ obsessive‐compulsive disorder in youth?

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